| NPI | 1295121879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 06606) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC302430) |
| 1041C0700X Social Worker, Clinical (Licence: NY PR023361-1) | |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2015-04-10 |