| NPI | 1508882788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW8742) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 150010901) |
| 1041C0700X Social Worker, Clinical (Licence: LA 9133) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2007-10-22 |