| NPI | 1639699838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 088177) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 9053123) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2019-12-30 |