| NPI | 1336544568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 085430) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 85430) |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2023-07-22 |