| NPI | 1659659381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 084563) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 083806-1) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06239600) | |
| 1041C0700X Social Worker, Clinical (Licence: MA LICSW124471) | |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2023-07-05 |