| NPI | 1417260720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 080457) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 081896) |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2021-04-30 |