| NPI | 1811186836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 003850) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY R024415-1) |
| 1041S0200X Social Worker School | |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2015-12-15 |