| NPI | 1588149710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW23528) |
| 1041C0700X Social Worker, Clinical (Licence: NY 098311-01) | |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2024-12-02 |