| NPI | 1497203681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 084668) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 089.0134870TELE) |
| 1041C0700X Social Worker, Clinical (Licence: FL TPSW1132) | |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06045100) | |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2022-11-08 |