| NPI | 1497034326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL sw9500) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 071181-1) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05463100) | |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2011-08-09 |