| NPI | 1245393370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW10478) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 0744031) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2011-09-27 |