| NPI | 1457636565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 078062) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW018643) |
| 1041C0700X Social Worker, Clinical (Licence: AL 3930C) | |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2022-08-11 |