| NPI | 1124041231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 077688) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 069608) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2010-12-03 |