| NPI | 1508330077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C015059) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 091486) |
| 1041C0700X Social Worker, Clinical (Licence: NC P013256) | |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2024-03-21 |