| NPI | 1467992461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C015159) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 011553) |
| 1041C0700X Social Worker, Clinical (Licence: NY 091164) | |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2023-06-06 |