| NPI | 1316496441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P012954) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 098227-1) |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2020-12-18 |