| NPI | 1144490541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 078681-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 076203) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2013-02-17 |