| NPI | 1649563941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 082225-1) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 083546-1) |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2014-08-12 |