| NPI | 1790119709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C017551) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 086177) |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2025-10-02 |