| NPI | 1184858078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 006290) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R056335) |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2009-05-07 |