| NPI | 1174873475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 084003) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C009177) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2017-01-05 |