| NPI | 1700202157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 085615-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 085206-1) |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2020-09-17 |