| NPI | 1902035322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 081146) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 1462) |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2023-01-23 |