| NPI | 1023343324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 73 080725) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 6116867) |
| 1041C0700X Social Worker, Clinical (Licence: CT 007509) | |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2014-06-05 |