| NPI | 1710635206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06041900) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904013773) |
| 1041C0700X Social Worker, Clinical (Licence: MD 28899) | |
| 1041C0700X Social Worker, Clinical (Licence: NH 2795) | |
| 1041C0700X Social Worker, Clinical (Licence: FL SW20113) | |
| 1041C0700X Social Worker, Clinical (Licence: NV 10146-C) | |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2023-03-22 |