| NPI | 1730419698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 083505) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 079929-1) |
| Enumeration Date | 2009-12-28 |
| Last Update Date | 2023-01-03 |