| NPI | 1598783599 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 104100000X Social Worker (Licence: MA 222711)  | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R030698)  | 
| Enumeration Date | 2006-07-17 | 
| Last Update Date | 2019-09-26 |