| NPI | 1053653840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW11227) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 070494) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2013-05-02 |