| NPI | 1467996413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 090204) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 094751-01) |
| 1041C0700X Social Worker, Clinical (Licence: GA CSW008711) | |
| Enumeration Date | 2016-12-10 |
| Last Update Date | 2023-09-18 |