| NPI | 1366812638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 089877) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 095838) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2021-01-04 |