| NPI | 1700814852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 114038) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY PR015457-1) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2008-03-31 |