| NPI | 1366968026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY P07540) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0903002339) |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2017-08-15 |