| NPI | 1427328111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 083018) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 084656) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2015-04-13 |