| NPI | 1891920385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PR 7788) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PR 7788) |
| 1041C0700X Social Worker, Clinical (Licence: NY 075987) | |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2019-09-26 |