| NPI | 1962804039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 085971-1) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 088848) |
| Enumeration Date | 2014-09-20 |
| Last Update Date | 2019-12-11 |