| NPI | 1356625453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 086801) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 098501001) |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2022-04-28 |