| NPI | 1508092099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 081106) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 080307) |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2015-10-29 |