| NPI | 1003081795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 076886-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 0713451) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2009-10-29 |