| NPI | 1538478961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R078017-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 078017) |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2020-08-26 |