| NPI | 1124285705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 25284) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL 14531) |
| 1041C0700X Social Worker, Clinical (Licence: NY 043132) | |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2018-11-29 |