| NPI | 1245644871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 086158) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 090609) |
| 1041C0700X Social Worker, Clinical (Licence: NC C014279) | |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2023-01-26 |