| NPI | 1538460142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 084865) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW11818) |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2020-08-31 |