| NPI | 1548569130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 86018) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 079624) |
| 282N00000X General Acute Care Hospital (Licence: NY 077442) | |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2022-01-21 |