| NPI | 1356779979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 085072) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924256) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2024-02-13 |