| NPI | 1699199158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW02727) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 089829) |
| 104100000X Social Worker (Licence: NJ 44SL06263300) | |
| 1041C0700X Social Worker, Clinical (Licence: ND 4942) | |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2022-07-21 |