| NPI | 1396806790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 069603) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 0696031LCSW) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2010-09-03 |