| NPI | 1699181347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY R0453881) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY R045388-1) |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2014-07-02 |