| NPI | 1376704379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 077215) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 75207) |
| 104100000X Social Worker (Licence: NY 075207) | |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2010-07-01 |