| NPI | 1659520633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 0000006759) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 0816351) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2019-06-18 |