| NPI | 1659815249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 089425) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 099529) |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2020-05-13 |