| NPI | 1104927862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY PR039985-1) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY PR0399851) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-07-08 |