| NPI | 1598035180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 082185-1) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 082185-1) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2020-03-04 |