| NPI | 1730511809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904011571) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 082284) |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2022-08-11 |