| NPI | 1811326390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 078066) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW018307) |
| 1041C0700X Social Worker, Clinical (Licence: CO 1414) | |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2020-09-29 |