| NPI | 1639588353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0001441) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 090156-1) |
| 104100000X Social Worker (Licence: NY 090156-1) | |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2019-08-27 |