| NPI | 1023289634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 085120) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 071213-1) |
| 1041C0700X Social Worker, Clinical (Licence: FL 16656) | |
| Enumeration Date | 2008-03-23 |
| Last Update Date | 2021-05-25 |