| NPI | 1073832150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 007779) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 080057) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2015-05-12 |