| NPI | 1306903612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW9701) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 070478-1) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2011-12-22 |