| NPI | 1164714606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 00082746) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 00082239) |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2015-03-26 |