| NPI | 1568945301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 093829) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.2405984) |
| 1041C0700X Social Worker, Clinical (Licence: TN 9438) | |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2024-10-29 |