| NPI | 1518390228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 086944) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW13670) |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2020-08-18 |