| NPI | 1407843493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW0003096) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY PR002493-1) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2007-08-17 |