| NPI | 1760812598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 086915-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 088814) |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2022-06-02 |