| NPI | 1588932149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904010940) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 080295) |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2025-01-20 |