| NPI | 1306169859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904010162) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 72-077507) |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2022-06-27 |