| NPI | 1295053908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 067458) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 007879) |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2015-12-18 |