| NPI | 1790813087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 077440) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 072080-1) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2011-02-25 |