| NPI | 1255640223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 097322-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 097322-1) |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2017-03-08 |