| NPI | 1487093407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 087835) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 091127) |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2019-03-13 |