| NPI | 1467835397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 094497) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 092605-1) |
| 1041C0700X Social Worker, Clinical (Licence: NY 94497) | |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2022-12-29 |