| NPI | 1699788596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW10445) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 073494) |
| 1041C0700X Social Worker, Clinical (Licence: NY 078572) | |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2012-09-05 |