| NPI | 1336748433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 093989) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 97974) |
| 104100000X Social Worker (Licence: NY 100936) | |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2022-08-17 |