| NPI | 1770860777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 087432) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 084294) |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2022-11-23 |