| NPI | 1790222800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 087296) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 72 093171) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2020-06-30 |