| NPI | 1568649416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 078833) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 074218-1) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904006925) | |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2012-06-12 |