| NPI | 1790051498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 73-050499) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 050499) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2020-02-04 |