| NPI | 1063601821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 079493-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY p67260) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2012-05-09 |