| NPI | 1720175128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 3442) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY PR0214561) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2008-08-08 |