| NPI | 1336116680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW8480) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R056450) |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2011-06-13 |