| NPI | 1134423775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 085835) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 216861) |
| Enumeration Date | 2010-12-22 |
| Last Update Date | 2024-03-21 |