| NPI | 1740400928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 10780) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC303469) |
| 1041C0700X Social Worker, Clinical (Licence: NY 049706) | |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2007-07-08 |