| NPI | 1588038160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 089288) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 72 096366) |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2020-10-19 |