| NPI | 1679825715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 119092) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 083250) |
| Enumeration Date | 2012-10-14 |
| Last Update Date | 2020-04-09 |