| NPI | 1992769772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 00045101) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 045101) |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2007-07-08 |