| NPI | 1164553194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL sw0084) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 074605-1) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2011-09-15 |