| NPI | 1659381382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC c006197) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY r023765-1) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2011-12-23 |