| NPI | 1194765065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL sw14860) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 074272-1) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2017-12-13 |