| NPI | 1619422375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 085577) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY P01634) |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2019-01-23 |