| NPI | 1104134816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 081773) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 082174) |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2014-10-20 |