| NPI | 1487051330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 085171) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: 085171) |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2021-09-12 |