| NPI | 1356460778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 008594) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R039914-1) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2014-06-16 |