| NPI | 1760797070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 081420-01) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 72 080078) |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2022-10-14 |