| NPI | 1104136308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: NY 554036941) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R035920-1) |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2010-10-22 |