| NPI | 1942487301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 00078986) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904011199) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05509600) | |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2019-11-20 |