| NPI | 1295171098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 0807281) |
| Additional Taxonomies | 1041S0200X Social Worker School (Licence: NY 600138121) |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2013-05-24 |