| NPI | 1992451959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 094693) |
| Additional Taxonomies | 104100000X Social Worker (Licence: LA 16413) |
| 104100000X Social Worker (Licence: NY 096388) | |
| 104100000X Social Worker (Licence: TX 109518) | |
| Enumeration Date | 2022-02-28 |
| Last Update Date | 2023-01-28 |