| NPI | 1104830256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 23240) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R035447-1) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2016-11-30 |