| NPI | 1912037284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW22450) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 00077357) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2024-03-11 |