| NPI | 1619341294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 084929) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 086861) |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2016-11-21 |