| NPI | 1285914655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 081238-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 084408) |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2014-01-11 |