| NPI | 1073678132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 076248) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 069322) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2009-02-13 |