| NPI | 1417141615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 054591-1) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 054591-1) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2010-04-08 |