| NPI | 1306251392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 61557) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 73 076760) |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2014-08-16 |