| NPI | 1447652599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 081942) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 120134) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44sc06116900) | |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2024-02-01 |