| NPI | 1225058753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY R069243) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 00059721) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2012-10-17 |