| NPI | 1588892012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C006016) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 0530641) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2009-06-23 |