| NPI | 1972936193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 084877) |
| Additional Taxonomies | 101YS0200X Counselor, School |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2018-08-24 |