| NPI | 1639496995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904007980) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 8968162) |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2018-08-17 |