| NPI | 1942408927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 077271) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 075244-1) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2013-04-30 |