| NPI | 1861723298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 078405) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0001007) |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2015-02-02 |