| NPI | 1265450779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34008685A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 1419) |
| 1041C0700X Social Worker, Clinical (Licence: NE 3958) | |
| 104100000X Social Worker (Licence: NY R057835-1) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2023-05-22 |