| NPI | 1801045141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904014155) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 068461) |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2022-10-26 |