| NPI | 1366931487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 094667) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 102145) |
| 1041C0700X Social Worker, Clinical (Licence: VT 089.0135226) | |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2023-04-26 |