| NPI | 1811293483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 34708) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 081624) |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2013-03-13 |