| NPI | 1972610723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 074677) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904007481) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2022-05-20 |