| NPI | 1265014179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW18330) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 090634-01) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904012945) | |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2022-09-02 |