| NPI | 1154608834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 084717) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0001496) |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2017-04-20 |