| NPI | 1093064115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI LCSW-4658) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 086209) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2022-05-19 |