| NPI | 1598187254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 086144) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 089780) |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2018-07-26 |