| NPI | 1174590269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R050237-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R050237) |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2010-04-14 |