| NPI | 1821243049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R-079522) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 078212) |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2018-08-30 |