| NPI | 1679843718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R034324) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SC 9440) |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2014-11-20 |