| NPI | 1811127202 |
|---|---|
| Other Name | N/A N/A |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 079898) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 078373-1) |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2021-03-02 |