| NPI | 1467960286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 121100) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 087155) |
| Enumeration Date | 2018-01-15 |
| Last Update Date | 2018-03-23 |