| NPI | 1306086533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 075249-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 059454-1) |
| 1041S0200X Social Worker, School (Licence: NY 1742682) | |
| Enumeration Date | 2009-02-27 |
| Last Update Date | 2009-02-27 |