| NPI | 1477892842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 084910) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 085654-1) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW019615) | |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05839100) | |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2019-02-26 |