| NPI | 1932418688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 083491) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 084178) |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2015-10-02 |