| NPI | 1063054070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 227335) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DE Q30011209) |
| 1041C0700X Social Worker, Clinical (Licence: NY 0967831) | |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2024-02-08 |