| NPI | 1982956900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 69435) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 08473) |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2015-11-10 |