| NPI | 1316080294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: NY 667082961) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 0335521) |
| 1041C0700X Social Worker, Clinical (Licence: NY 0834961) | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2015-09-03 |