| NPI | 1578688131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 075572) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI ISW03040) |
| 1041C0700X Social Worker, Clinical (Licence: WA LW61195036) | |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2024-05-28 |