| NPI | 1265420863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R033967) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 000016-1) |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2010-08-04 |