| NPI | 1134318538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 007192) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 078043) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2014-04-09 |