| NPI | 1235404302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 082536) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 084625) |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2015-06-17 |