| NPI | 1184940942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904007111) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 074664-1) |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2010-04-19 |