| NPI | 1922498286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 086002) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 085559) |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2019-08-30 |