| NPI | 1750832028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM M-09947) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 098228) |
| 104100000X Social Worker (Licence: NY 098228) | |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2018-10-08 |