| NPI | 1730436098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 084092) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 086978) |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2016-05-25 |