| NPI | 1417497702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW20339) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 089475) |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2023-06-19 |