| NPI | 1245390616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 073672R) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY LCSW-R) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2008-03-25 |