| NPI | 1467821595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: HI LSW2378) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 094252-01) |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2019-09-16 |