| NPI | 1063577344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY PR014666-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY PR014666) |
| 1041C0700X Social Worker, Clinical (Licence: CT 003957) | |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2009-05-27 |