| NPI | 1124240015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 082669-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 066172-1) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2015-03-20 |