| NPI | 1023261823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 078920) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 069327) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2012-06-13 |