| NPI | 1588805147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C004568) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 056831) |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2015-02-04 |