| NPI | 1972702801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI 02106) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 073471-1) |
| 1041C0700X Social Worker, Clinical (Licence: TN 5094) | |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2012-10-24 |