| NPI | 1922711308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: FL ISW19372) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 116451) |
| 1041C0700X Social Worker Clinical (Licence: ISW19372) | |
| Enumeration Date | 2023-01-02 |
| Last Update Date | 2024-08-08 |