| NPI | 1558791608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: SC 162) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 077287) |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2013-11-26 |