| NPI | 1356476006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 081046) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 20291) |
| 1041C0700X Social Worker, Clinical (Licence: NY 72 078960) | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2019-06-11 |