| NPI | 1902929953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 083512) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 24830) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2011-07-18 |