| NPI | 1548887656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: SC 14538) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P014547) |
| 104100000X Social Worker (Licence: GA MSW010333) | |
| 104100000X Social Worker (Licence: NY 117422) | |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2023-12-07 |