| NPI | 1235456583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50079152) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 72073623) |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2020-01-23 |