| NPI | 1407331218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 093768) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 104917) |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2022-08-22 |