| NPI | 1477652865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 73075178) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 5736154) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2008-02-21 |