| NPI | 1447382510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW60472633) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL LCSW4529) |
| 1041C0700X Social Worker Clinical (Licence: NY LMSW044837) | |
| 1041C0700X Social Worker Clinical (Licence: NY CSW0448371) | |
| 1041C0700X Social Worker Clinical (Licence: FL SW4529) | |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2015-03-09 |