| NPI | 1073874186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 084631) |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital (Licence: NY 084631) |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2016-08-26 |