| NPI | 1114175874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 007226) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 0760001) |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2010-03-31 |