| NPI | 1316214794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL 21944) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 08626) |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2023-12-08 |