| NPI | 1376645028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR LCSW 0690) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS13678) |
| 1041C0700X Social Worker, Clinical (Licence: NY 021280-1) | |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2010-09-03 |