| NPI | 1447406855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW12997) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical (Licence: NY 082947-1) | |
| 1041C0700X Social Worker, Clinical (Licence: NY 079423) | |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2018-11-28 |