| NPI | 1649413808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 9152) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 051112) |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2010-05-01 |