| NPI | 1609038520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 1843C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 046219) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2008-07-01 |