| NPI | 1932344264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 079557) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 00077286) |
| Enumeration Date | 2008-12-16 |
| Last Update Date | 2012-07-31 |