| NPI | 1487617122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY P048447-1) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY F401185) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: NY F303841) | |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2009-04-14 |