| NPI | 1538205984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 29161) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 082129) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2024-10-17 |