| NPI | 1568450864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 8023) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R033108) |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2011-08-18 |