| NPI | 1457996159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 088887) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 088887-01) |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2020-02-07 |