| NPI | 1548541949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW13900) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 0833821) |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2017-04-08 |