| NPI | 1063658201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL ISW15274) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 074253-1) |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2022-06-16 |