| NPI | 1679986251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 091783-01) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 00089129) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2021-08-05 |