| NPI | 1306235221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 087083-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 082758-1) |
| 1041C0700X Social Worker Clinical (Licence: NY 087083) | |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2022-08-16 |