| NPI | 1205064821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 082564) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 068321-1) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2016-06-13 |