| NPI | 1992961023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R079523-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 077385) |
| 1041C0700X Social Worker, Clinical (Licence: NY 079523-1) | |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2018-03-17 |