| NPI | 1417473208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 097619) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: GA CSW009253) |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2024-08-17 |