| NPI | 1578890562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW10983) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 079575) |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2012-10-01 |