| NPI | 1972856003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 092361) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 25789) |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2024-06-25 |