| NPI | 1376995886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 27827) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 088962) |
| 1041C0700X Social Worker, Clinical (Licence: CT 11621) | |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904013279) | |
| 1041C0700X Social Worker, Clinical (Licence: DC 200002539) | |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2024-02-27 |