| NPI | 1760546394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 089884) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 049844-1) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2021-03-03 |