| NPI | 1700158714 |
|---|---|
| Other Name | N/A N/A |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 089027) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 082963) |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2023-03-01 |