| NPI | 1053584052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 079182) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 072615) |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2014-05-26 |