| NPI | 1871602656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 075896) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 067256) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2010-07-13 |