| NPI | 1396032918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 077746) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OK 4103) |
| Enumeration Date | 2011-07-03 |
| Last Update Date | 2011-07-03 |