| NPI | 1821756065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 11414601) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 28091) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44sl06688200) | |
| Enumeration Date | 2021-12-06 |
| Last Update Date | 2021-12-06 |