| NPI | 1164440145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 071984-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 7018286) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2010-03-15 |