| NPI | 1730694498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW008493) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1121247) |
| 1041C0700X Social Worker, Clinical (Licence: NY 096547) | |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2026-03-11 |