| NPI | 1932722501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW22834) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 111062) |
| 104100000X Social Worker (Licence: FL 16488) | |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2024-04-03 |