| NPI | 1477889426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 076988) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW 9331) |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2011-05-20 |