| NPI | 1821161118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 076101) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 069488) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2009-09-01 |