| NPI | 1598208183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L12507) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 101848-1) |
| 1041C0700X Social Worker, Clinical (Licence: NY 090800) | |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2021-09-03 |