| NPI | 1750586210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 065771-1) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2021-03-31 |