| NPI | 1629635537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C016564) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 105863) |
| Enumeration Date | 2019-05-27 |
| Last Update Date | 2024-06-28 |