| NPI | 1366644536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008901) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 047016) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2016-05-02 |