| NPI | 1033375340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 083672) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 062337) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2016-04-25 |