| NPI | 1952406480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 00062830) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY P062830-1) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2009-09-17 |