| NPI | 1932320868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904012688) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R039552) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2021-08-03 |