| NPI | 1699866418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 13578) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW-0004229) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-08-17 |