| NPI | 1417232034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 084044-1) |
| Additional Taxonomies | 1041S0200X Social Worker School (Licence: NY 58610) |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2018-08-13 |