| NPI | 1326296062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 13241) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 076247-1) |
| Enumeration Date | 2008-09-07 |
| Last Update Date | 2019-06-21 |