| NPI | 1811281405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 096904-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 083570-1) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2024-08-07 |