| NPI | 1184017014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 20809) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 087800-1) |
| 104100000X Social Worker (Licence: NY 088155-1) | |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2023-02-10 |