| NPI | 1114432234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: DE Q1-0001795) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0001795) |
| 104100000X Social Worker (Licence: NY 100381-1) | |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2021-01-25 |