| NPI | 1942243613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 076102) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 069701) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2011-06-27 |