| NPI | 1982813226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 094870) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 089560) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-03 |