| NPI | 1710614516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 089177-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 68793) |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2022-08-02 |