| NPI | 1568630697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 077169) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 25773) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2014-08-19 |