| NPI | 1437519329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 096930) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 087660) |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2019-01-15 |