| NPI | 1083137210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 119211) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 085186) |
| 1041C0700X Social Worker, Clinical (Licence: NY 085186) | |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2022-10-21 |