| NPI | 1679017461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 9411-C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 086187-1) |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2021-09-16 |