| NPI | 1033358361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 079047-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 077829-1) |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2011-10-24 |