| NPI | 1114945177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 029801) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 312609) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2018-03-17 |