| NPI | 1356620926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 082239-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 081621-1) |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2023-05-24 |