| NPI | 1003063629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50079094) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY P64595) |
| 1041C0700X Social Worker, Clinical (Licence: NY 078823) | |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2011-08-10 |