| NPI | 1346512712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 083484) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 083286) |
| 1041C0700X Social Worker, Clinical (Licence: GA CSW005618) | |
| 1041C0700X Social Worker, Clinical (Licence: IL 149027452) | |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2026-05-20 |