| NPI | 1114150042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 070827-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 009369) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2016-04-12 |