| NPI | 1871773630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 085581) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 075220) |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2017-07-24 |