| NPI | 1962725838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: TN 9446) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 079812-1) |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2019-01-29 |