| NPI | 1346486503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 079532) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 118321) |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2019-10-18 |