| NPI | 1164748331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C009128) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 075415) |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2021-02-21 |