| NPI | 1164485371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009606) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 063772-1) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2018-09-11 |