| NPI | 1326251141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 077237) |
| Additional Taxonomies | 104100000X Social Worker (Licence: 073856) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2012-09-17 |