| NPI | 1255630620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 080241-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 080718) |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2014-11-19 |