| NPI | 1518141332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 077150-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 072771) |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2009-12-18 |