| NPI | 1932443959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 002542) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R020957) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |