| NPI | 1174853691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 00664) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY RO39293-1) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2010-01-06 |