| NPI | 1164730974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 087823) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 109653) |
| 1041C0700X Social Worker, Clinical (Licence: CA 86318) | |
| 1041C0700X Social Worker, Clinical | |
| 1041C0700X Social Worker, Clinical (Licence: FL 18280) | |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2023-11-09 |