| NPI | 1154541704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 076790-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 070259-1) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2009-07-10 |