| NPI | 1194890608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 070491-1) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2007-12-04 |