| NPI | 1588809495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 078756) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 075624) |
| 1041S0200X Social Worker, School (Licence: NY 078756) | |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2016-08-02 |