| NPI | 1447583133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 008595) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 083688) |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2018-11-15 |