| NPI | 1942689757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 087402) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 092700-1) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2019-03-15 |