| NPI | 1154622728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 084012) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 081532) |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2016-03-16 |