| NPI | 1598950958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: R041998-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R041998-1) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2010-11-29 |