| NPI | 1285319319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 120955) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC61523042) |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2024-03-04 |