| NPI | 1972841260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 088118) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 082046-1) |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2021-03-29 |