| NPI | 1598130627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA 1093903) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 088402) |
| 1041C0700X Social Worker, Clinical (Licence: NY 088601) | |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2023-09-26 |