| NPI | 1316206659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 084502) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 086389) |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2021-04-26 |