| NPI | 1013009521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 006295) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 070476) |
| 251S00000X Community/Behavioral Health (Licence: NY 070476) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2010-11-08 |