| NPI | 1578747861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 071753-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 071753-1) |
| 1041S0200X Social Worker, School (Licence: NY 071753-1) | |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2007-12-21 |