| NPI | 1316362007 | 
|---|---|
| Former Name | DEBRA DEEBLE | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 089073-01)  | 
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 084974)  | 
| Enumeration Date | 2014-03-04 | 
| Last Update Date | 2021-03-17 |