| NPI | 1255534368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 078540) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 076100) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2012-07-09 |