| NPI | 1316209687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW15787) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 089.0134198) |
| 104100000X Social Worker (Licence: NY 092426) | |
| 1041C0700X Social Worker, Clinical (Licence: NY 086870-01) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2023-11-09 |