| NPI | 1659485910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 09277) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC302937) |
| 1041C0700X Social Worker, Clinical (Licence: NY RO30051-1) | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2010-12-04 |