| NPI | 1578701793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 080560) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 079037) |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2013-04-15 |