| NPI | 1740341031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 078309) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL TPSW3391) |
| 1041C0700X Social Worker, Clinical (Licence: TN 8998) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2024-10-21 |