| NPI | 1992968770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 083504) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL 13333) |
| 1041C0700X Social Worker Clinical (Licence: FL SW13333) | |
| 1041C0700X Social Worker Clinical (Licence: NY 085573) | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2023-05-03 |