| NPI | 1922010040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2012025911) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 069917-1) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2013-01-16 |