| NPI | 1366689960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 117896) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 72076953) |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2014-05-29 |