| NPI | 1497321566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 25662) |
| Additional Taxonomies | 104100000X Social Worker (Licence: DC 2550) |
| 104100000X Social Worker (Licence: NY 105500) | |
| Enumeration Date | 2021-05-31 |
| Last Update Date | 2024-04-24 |