| NPI | 1477705655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C007676) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 079148) |
| 104100000X Social Worker (Licence: NY 065393) | |
| Enumeration Date | 2008-10-19 |
| Last Update Date | 2018-04-12 |