| NPI | 1972805653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 081482) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 082623) |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2014-01-06 |