| NPI | 1699000729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 002412) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 036884-1) |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2011-11-15 |