| NPI | 1730565334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW006598) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 087306) |
| 104100000X Social Worker (Licence: NY 091996) | |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2019-06-11 |