| NPI | 1598773558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 13724) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY R0491501) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2012-07-31 |