| NPI | 1487014668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 093049) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 096300) |
| 1041C0700X Social Worker, Clinical (Licence: NY 096300) | |
| Enumeration Date | 2016-03-01 |
| Last Update Date | 2022-05-18 |