| NPI | 1255416442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 004831) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 055001) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2007-07-08 |