| NPI | 1093045163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 078380) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 0759341) |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2016-12-15 |