| NPI | 1144304494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 077826-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-10904) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2019-01-17 |