| NPI | 1518401488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 097956) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 089895) |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2021-11-05 |