| NPI | 1730501404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL 088860) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 091225-1) |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2023-04-25 |