| NPI | 1588950828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 0782741) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 73078274) |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2020-01-16 |