| NPI | 1902985401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L7019) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 080552) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2019-06-28 |