| NPI | 1306990353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R055768-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 055768) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2009-05-21 |