| NPI | 1275793770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 943) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R051672-1) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2012-10-03 |