| NPI | 1487818308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 079512-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 065435) |
| 1041C0700X Social Worker, Clinical (Licence: NY 065435) | |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2014-04-04 |