| NPI | 1417094012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ID LCSW-40042) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 072342-1) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2021-04-06 |