| NPI | 1215265533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 080011) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C007286) |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2013-07-31 |