| NPI | 1265532956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW7789) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R057520-01) |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2007-07-08 |