| NPI | 1396180857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 081074) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 081074) |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2023-11-10 |