| NPI | 1801294533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: VA 0903002098) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY P062433-1) |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2014-12-11 |