| NPI | 1578952768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 093066) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 106721) |
| 1041C0700X Social Worker, Clinical (Licence: NY 106721) | |
| 1041C0700X Social Worker, Clinical (Licence: ND 4479) | |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2022-05-16 |