| NPI | 1881064780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 087830) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 096019) |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2023-12-08 |