| NPI | 1609249036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R057062) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: NY R057062) |
| Enumeration Date | 2015-11-06 |
| Last Update Date | 2019-06-06 |