| NPI | 1649319070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW16486) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 054512) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2025-11-19 |