| NPI | 1982046272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 082023) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW018052) |
| Enumeration Date | 2013-07-27 |
| Last Update Date | 2014-07-25 |