| NPI | 1013241942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 080320) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 079923) |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2016-03-29 |