| NPI | 1871613117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 072205) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NY 022521) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2007-07-08 |