| NPI | 1720468085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 091652) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 108831) |
| 1041C0700X Social Worker, Clinical (Licence: MA 125023) | |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2026-09-01 |