| NPI | 1346792256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 5339) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 082344) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2016-10-26 |