| NPI | 1629333869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L7173) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 079526-1) |
| 1041C0700X Social Worker, Clinical (Licence: NY 082229) | |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2023-09-20 |