| NPI | 1255003125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904017077) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 28972) |
| 104100000X Social Worker (Licence: NY 111917-01) | |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2024-07-23 |