| NPI | 1144649641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C009277) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY P053329-1) |
| Enumeration Date | 2014-04-11 |
| Last Update Date | 2015-05-14 |