| NPI | 1861480550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R043391-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 776011-1) |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2007-07-08 |