| NPI | 1376579953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C006318) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY PR015440 1) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2009-04-15 |