| NPI | 1205124740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 082070) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 081346) |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2016-06-09 |