| NPI | 1316166168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 15770) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL TPIC48) |
| 1041C0700X Social Worker, Clinical (Licence: NY 074590-1) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2026-03-18 |