| NPI | 1639540776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC 50081992) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 094939) |
| 1041C0700X Social Worker, Clinical (Licence: MD 26781) | |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2021-04-14 |