| NPI | 1275750010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C007448) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 074759-1) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2016-10-27 |