| NPI | 1174874713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 13627) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 084183) |
| Enumeration Date | 2012-09-23 |
| Last Update Date | 2017-02-20 |