| NPI | 1265833453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 009373) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 057499-1) |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2016-10-01 |