| NPI | 1548674161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK 167565) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 091266-1) |
| 1041C0700X Social Worker, Clinical (Licence: NY 089420) | |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2023-02-20 |