| NPI | 1619018728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY R075560) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 075560) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2022-02-02 |