| NPI | 1720183064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 0701801) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C006278) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2013-12-13 |