| NPI | 1699925990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 079092) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 077006) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05963100) | |
| 1041C0700X Social Worker, Clinical (Licence: NY 0790921) | |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2022-09-22 |