| NPI | 1366536641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 069826) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 13399) |
| 1041C0700X Social Worker, Clinical (Licence: NC C006651) | |
| 1041C0700X Social Worker, Clinical (Licence: GA CSW9004313) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2010-12-21 |