| NPI | 1659675239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 0832701) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 082198-1) |
| Enumeration Date | 2010-12-22 |
| Last Update Date | 2016-05-31 |