| NPI | 1578890919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 44SC05500200) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NV 5439-s) |
| 1041C0700X Social Worker, Clinical (Licence: NV Intern-ic-569) | |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2012-03-20 |