| NPI | 1154532166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C007622) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 076086-1) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2013-08-06 |