| NPI | 1932310042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C004800) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY P062475-1) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05268500) | |
| 1041C0700X Social Worker, Clinical (Licence: CA 93315) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2025-03-18 |