| NPI | 1750442554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 075049-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2004026639) |
| 1041S0200X Social Worker, School (Licence: NY 1227765) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2009-07-16 |