| NPI | 1477681906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904007961) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R070449) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2014-11-21 |