| NPI | 1417285545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 086473-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 077415-1) |
| 1041C0700X Social Worker, Clinical (Licence: CA ASW 32911) | |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2018-12-12 |