| NPI | 1750492344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904006934) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY R059657-1) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2009-12-02 |