| NPI | 1962574855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 056484) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY R56484) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2022-01-12 |