| NPI | 1194049262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY RO55350-1) |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital (Licence: NY RO55350-1) |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2010-03-18 |