| NPI | 1518076371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: FL SW5823) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW5823) |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: FL SW5823) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2011-09-24 |