| NPI | 1912045808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 069208) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 1020636) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-04-21 |