| NPI | 1659644284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY R050200-1) |
| Additional Taxonomies | 1041S0200X Social Worker School |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2012-02-13 |