| NPI | 1124579495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 088002) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904013431) |
| 1041C0700X Social Worker, Clinical (Licence: FL TPSW1007) | |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2026-08-21 |