| NPI | 1306151063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 081590-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 078821-1) |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2017-05-03 |