| NPI | 1740581164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 18279) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 075317) |
| 1041C0700X Social Worker Clinical (Licence: VA 0904008556) | |
| 1041C0700X Social Worker Clinical (Licence: NC C018754) | |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2025-08-05 |