| NPI | 1750725776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C013340) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 082232-1) |
| Enumeration Date | 2013-04-21 |
| Last Update Date | 2024-03-18 |