| NPI | 1235213885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009619) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 062990-1) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2021-08-20 |