| NPI | 1467603811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 077490) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 073156) |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2011-11-01 |