| NPI | 1750742201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009125) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 083428) |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2016-05-28 |