| NPI | 1972771491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 095172) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NY 000024) |
| 104100000X Social Worker (Licence: NY 091913) | |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2023-04-17 |