| NPI | 1881831949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 079761-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 077561) |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2020-04-02 |