| NPI | 1801035597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: IA 096224) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: NY 078089) |
| 1041C0700X Social Worker, Clinical (Licence: NY 078089) | |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2023-12-08 |