| NPI | 1508247248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 27885) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 075080) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2023-10-19 |