| NPI | 1154519924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 085167) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 0879121) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2018-08-14 |