| NPI | 1649335654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R045488) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 09925185) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2018-03-17 |