| NPI | 1316230600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 079730) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 073553) |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2012-07-12 |