| NPI | 1740228238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 081348) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 10551) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2024-02-13 |