| NPI | 1972160851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 091737) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904016014) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06037000) | |
| Enumeration Date | 2019-05-25 |
| Last Update Date | 2023-11-09 |