| NPI | 1295820074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 007579) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 069583) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2012-04-05 |