| NPI | 1114174356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 007681) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 077489-1) |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2017-04-27 |