| NPI | 1013906767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R023446) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C005483) |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2014-12-15 |