| NPI | 1194361600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 089127) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 125407) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06211200) | |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2024-01-26 |