| NPI | 1972005205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 089490) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09929814) |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2024-09-04 |