| NPI | 1104079649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 076401-1) |
| Additional Taxonomies | 1041S0200X Social Worker School (Licence: NY 1815823) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |