| NPI | 1336205830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 074339) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 033383) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2009-09-30 |