| NPI | 1770523649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 076082) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 069569) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2009-11-04 |