| NPI | 1669538302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R013289) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW2930) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2008-07-14 |