| NPI | 1306140058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC 50079964) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 079737) |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2014-07-15 |