| NPI | 1841341740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 074593-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 064819-1) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2013-05-16 |