| NPI | 1649668500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA CSW006621) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 72092213) |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2021-01-04 |