| NPI | 1578208575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 104989) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 104989) |
| 104100000X Social Worker (Licence: MO 2022010288) | |
| Enumeration Date | 2022-05-03 |
| Last Update Date | 2024-09-06 |