| NPI | 1629346077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 0830838) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05754100) |
| 104100000X Social Worker (Licence: NY 085261) | |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2021-02-01 |