| NPI | 1003969064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 117190) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R018814) |
| Enumeration Date | 2007-01-20 |
| Last Update Date | 2012-10-30 |