| NPI | 1811368350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 088230) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 094944) |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2019-09-24 |