| NPI | 1396971172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 2180C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 030094) |
| 104100000X Social Worker (Licence: CA 19713/28750) | |
| Enumeration Date | 2009-06-06 |
| Last Update Date | 2009-06-06 |