| NPI | 1285204354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 103339) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2614200) |
| 1041C0700X Social Worker, Clinical (Licence: FL TPIC54) | |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2026-06-25 |