| NPI | 1316297260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 089103) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05782500) |
| 1041C0700X Social Worker, Clinical (Licence: CA 80428) | |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2025-12-01 |