| NPI | 1487024782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 090791) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904017498) |
| 1041C0700X Social Worker, Clinical (Licence: AL 5921c) | |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2026-01-20 |