| NPI | 1265281653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 097259) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW23101) |
| Enumeration Date | 2024-05-16 |
| Last Update Date | 2024-06-11 |