| NPI | 1023380920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 095862) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 6359) |
| 104100000X Social Worker (Licence: NY 090903) | |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2024-07-20 |