| NPI | 1497966592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 070658-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW8651) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2021-03-10 |