| NPI | 1396042362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 20430) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 081972-1) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC50080173) | |
| Enumeration Date | 2011-02-27 |
| Last Update Date | 2021-09-16 |