| NPI | 1992953293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 090760) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 076410-1) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2024-05-31 |