| NPI | 1295804193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 003735) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY R010111-1) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2012-01-25 |