| NPI | 1447624739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 091184) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 092861) |
| 1041C0700X Social Worker Clinical (Licence: OR L7870) | |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2021-07-26 |