| NPI | 1326386533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 081742-01) |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2021-12-28 |