| NPI | 1790935583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 092799) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 095806) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2022-04-01 |