| NPI | 1366791030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 14814) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 087307) |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2022-09-14 |