| NPI | 1396140539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 091845-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 088039-1) |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2021-01-08 |