| NPI | 1700240942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 085306) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 088324) |
| 1041S0200X Social Worker, School (Licence: NY 088324) | |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2019-04-15 |