| NPI | 1295136182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 091195-01) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 102583-1) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2021-04-06 |