| NPI | 1245468032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 007112) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 00079150) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2014-10-07 |