| NPI | 1134137029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NY LCSW R045850-1) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY RPN 251556-1) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2007-07-08 |