| NPI | 1578248647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C016167) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 095314) |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2023-07-17 |