| NPI | 1043463359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 0459291) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904005934) |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2010-11-15 |