| NPI | 1669584314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 15897) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 069466) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2015-05-13 |