| NPI | 1326207630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY C-10286) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 17097) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2018-04-03 |