| NPI | 1114103744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 082842) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 075997) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2015-10-15 |