| NPI | 1316041460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 003716) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY PR018178) |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2017-03-24 |