| NPI | 1316240385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 73081585) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 72 082712) |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2015-05-13 |