| NPI | 1003970708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW8843) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 066272) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2011-03-18 |