| NPI | 1255570446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 078071) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 078708) |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2010-12-10 |