| NPI | 1790033439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 084403) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 087136) |
| 1041C0700X Social Worker, Clinical (Licence: OH I.2102717) | |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2021-04-01 |