| NPI | 1457451056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 086298) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 089.0135184) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW8166) | |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2023-05-10 |