| NPI | 1972848406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 29093) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 076260) |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2012-12-10 |