| NPI | 1013250430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012839) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 085768) |
| 1041C0700X Social Worker, Clinical (Licence: NY 083764) | |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2024-01-30 |