| NPI | 1467550269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 079386) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SC 7044) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2018-10-18 |