| NPI | 1275916132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R-24030-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 003368) |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2015-07-09 |