| NPI | 1134452170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2009026528) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 8396385) |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2016-03-07 |