| NPI | 1265594667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY R047179-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R047179-1) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2007-07-09 |