| NPI | 1376197053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 094251) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL TPSW2236) |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2023-11-15 |