| NPI | 1316183833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 72074583) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 72-074583) |
| 1041C0700X Social Worker, Clinical (Licence: NY 72074583) | |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2009-01-06 |