| NPI | 1043429889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 13284) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA LCS 20850) |
| 1041C0700X Social Worker Clinical (Licence: NY R0718721) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2009-01-02 |