| NPI | 1205161940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW10619) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 076388-1) |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2018-05-18 |