| NPI | 1174648547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C005902) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 043544) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2009-01-22 |