| NPI | 1689849770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 12404) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 073276-1) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2021-06-09 |