| NPI | 1376852202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: 73080938) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 071027-1) |
| Enumeration Date | 2010-09-27 |
| Last Update Date | 2018-07-18 |