| NPI | 1639311574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW7146) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY R043698-1) |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2009-03-24 |