| NPI | 1609394006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 088624) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 096529) |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2022-02-11 |