| NPI | 1902087315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 075575) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 080691) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2013-06-12 |