| NPI | 1801357504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 090498) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 095578) |
| 1041C0700X Social Worker, Clinical (Licence: CA 94870) | |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05969800) | |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2021-01-25 |