| NPI | 1558446872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 0721351) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 29724) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2017-10-25 |