| NPI | 1629525746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 0841661) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC C010347) |
| 1041C0700X Social Worker Clinical (Licence: NJ 44SC05938400) | |
| 1041S0200X Social Worker School | |
| 1041S0200X Social Worker School (Licence: NC 1200702) | |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2021-05-18 |