| NPI | 1497047062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 111966) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05339600) |
| 1041C0700X Social Worker Clinical (Licence: MD 28846) | |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2024-08-27 |