| NPI | 1780920108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 083746) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: NY 083746) |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2021-02-18 |