| NPI | 1952729972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 086716) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 078689-1) |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2018-03-28 |