| NPI | 1043299670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R047972) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY R0479721) |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2008-03-27 |