| NPI | 1184657249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R0319221) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM I-06516) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2007-08-20 |