| NPI | 1043592611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 059567) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2011-09-09 |