| NPI | 1033209564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 076148-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 071273-1) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2011-12-21 |