| NPI | 1962818054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 085992) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 092196) |
| 1041C0700X Social Worker, Clinical (Licence: NY P93470) | |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2017-09-19 |