| NPI | 1326454232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW15654) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 091526) |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2021-02-23 |