| NPI | 1265580930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 077323) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 069523) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2014-10-28 |