| NPI | 1659681948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 0802621) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 0781311) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2012-12-21 |