| NPI | 1225319809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 083760) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 118056) |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2019-10-28 |