| NPI | 1124274287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 6128064) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CO 09923110) |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2021-09-26 |