| NPI | 1780950881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005615) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 0777851) |
| 1041C0700X Social Worker, Clinical (Licence: NY 73 080758) | |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2015-10-12 |