| NPI | 1447635909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 088706) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05812800) |
| 104100000X Social Worker (Licence: NY 095276) | |
| 1041C0700X Social Worker, Clinical (Licence: FL SW15807) | |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2021-05-07 |