| NPI | 1730244278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 077358-01) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 077358-1) |
| 1041S0200X Social Worker School (Licence: NY 073796) | |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2023-04-04 |