| NPI | 1306188438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 084923-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 0883581) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2018-04-26 |