| NPI | 1144487794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 077718-1) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0904004520) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC056127) | |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2015-08-13 |