| NPI | 1306146402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 081683) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 081832-1) |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2021-05-10 |