| NPI | 1598954992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 079247-1) |
| Additional Taxonomies | 1041S0200X Social Worker, School |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2013-10-03 |