| NPI | 1558505479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 080325) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 078649) |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2013-01-29 |