| NPI | 1205957313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 077017-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 069500-1) |
| 1041S0200X Social Worker, School (Licence: NY 78012) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2009-10-14 |