| NPI | 1013392455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 077580) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 008372) |
| 1041S0200X Social Worker, School (Licence: NY 1078172) | |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2015-07-28 |