| NPI | 1902945264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 8179) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 07185) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2008-07-29 |