| NPI | 1346485422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904008785) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 72 049861) |
| 1041C0700X Social Worker, Clinical (Licence: NY 73078744) | |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2019-09-05 |