| NPI | 1194160747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904008547) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 082203) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2020-08-18 |