| NPI | 1710436068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 089522) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 098614) |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2020-05-20 |