| NPI | 1003460387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO 09930352) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 095210) |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2024-06-01 |