| NPI | 1861721706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R080567-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY P72061) |
| Enumeration Date | 2009-12-23 |
| Last Update Date | 2017-09-18 |