| NPI | 1831687243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 086821) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C101744) |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-05-01 |