| NPI | 1538489620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 084691) |
| Additional Taxonomies | 104100000X Social Worker |
| 104100000X Social Worker (Licence: NY 083701-1) | |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2018-03-17 |