| NPI | 1396048823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 119182) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 081787-1) |
| Enumeration Date | 2010-12-05 |
| Last Update Date | 2016-08-24 |