| NPI | 1497321145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C013099) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY C013099) |
| 1041C0700X Social Worker Clinical (Licence: NY 087888) | |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2022-04-11 |