| NPI | 1427292598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 44SC05389800) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 069732-1) |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2012-10-26 |