| NPI | 1598059404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 73-081586) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904006324) |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2015-03-03 |