| NPI | 1013144054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 083339) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 6704119) |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2015-07-24 |