| NPI | 1487810669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 097962-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 174550) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2024-08-14 |