| NPI | 1699920405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 076129-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 26081) |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2011-07-20 |