| NPI | 1750457289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW7901) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R040798) |
| 163W00000X Registered Nurse (Licence: NY 2325091) | |
| 163W00000X Registered Nurse (Licence: FL RN9254860) | |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2007-07-08 |