| NPI | 1750589909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 833) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 072436) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2007-07-10 |