| NPI | 1841659612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 72 094991) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09926031) |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2024-01-24 |