| NPI | 1063640787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 084918) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 062336-1) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2016-11-08 |