| NPI | 1659517068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 73 082582) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 72 077410) |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2014-11-06 |