| NPI | 1114264645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 080143) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW61477662) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW21112) | |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2024-02-18 |