| NPI | 1124420625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI 4072) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 084921-1) |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2016-04-17 |