| NPI | 1205306420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK 157316) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AK 140136) |
| 1041C0700X Social Worker, Clinical (Licence: NY 100891) | |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2020-09-28 |