| NPI | 1659687960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C014301) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 081806) |
| 1041C0700X Social Worker, Clinical (Licence: NY 081244) | |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801108463) | |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2023-08-11 |