| NPI | 1528229150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 076540) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 072563) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2018-05-08 |