| NPI | 1457623191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 25974) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 06756-1) |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2012-01-26 |