| NPI | 1831459239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 093084) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 086411) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2022-06-24 |