| NPI | 1588791388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R075608) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 067946-1) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2014-04-24 |