| NPI | 1548573710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904008298) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 079637) |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2013-10-22 |