| NPI | 1104187269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009201) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 074945) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2019-09-04 |