| NPI | 1124095781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R-029898-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY R02898) |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2010-04-15 |