| NPI | 1013526599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904011572) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 086917) |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2020-12-09 |