| NPI | 1497151161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW13695) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 084818-1) |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2016-12-02 |