| NPI | 1386728392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 110205) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R067398-1) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2009-02-03 |