| NPI | 1073682647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 071606R) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 071606) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2012-02-01 |