| NPI | 1447753744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L7630) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 095310) |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2018-06-04 |