| NPI | 1457606907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 083328) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 080901) |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2016-11-07 |