| NPI | 1285790741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 055137) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 005996) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2007-10-30 |