| NPI | 1538361902 |
|---|---|
| Other Name | NOT APPPLICABLE N/A NOT APPLICABLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW12570) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R073874-1) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2022-07-21 |