| NPI | 1205370210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 075537-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904007740) |
| Enumeration Date | 2016-12-09 |
| Last Update Date | 2016-12-09 |