| NPI | 1861504128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 051322) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 001861) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-09 |