| NPI | 1205411279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 095343) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801105569) |
| Enumeration Date | 2021-03-11 |
| Last Update Date | 2023-06-29 |