| NPI | 1003953787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 10076) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904005161) |
| 1041C0700X Social Worker, Clinical (Licence: NY 73078336) | |
| 1041C0700X Social Worker, Clinical (Licence: FL SW12263) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2017-12-18 |