| NPI | 1487720835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C8159) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R067954) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2013-10-22 |