| NPI | 1932342086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 081531) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 077750-1) |
| Enumeration Date | 2009-04-18 |
| Last Update Date | 2019-05-17 |