| NPI | 1528288123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 005952) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R023940) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2007-11-14 |