| NPI | 1669579686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 8255) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 4383-C) |
| 1041C0700X Social Worker, Clinical (Licence: MA 111495) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |