| NPI | 1467548123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OR L4279) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY R052334) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2008-09-03 |