| NPI | 1487276523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 7229) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TN 7229) |
| 1041C0700X Social Worker, Clinical (Licence: NY 088587) | |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2022-07-25 |