| NPI | 1477718484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R084249-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 13701) |
| Enumeration Date | 2008-07-20 |
| Last Update Date | 2022-06-14 |