| NPI | 1316241151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 098393) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 103461-1) |
| 104100000X Social Worker (Licence: NY 103461) | |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2024-09-05 |