| NPI | 1336172071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 077975-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 074669) |
| 1041C0700X Social Worker, Clinical (Licence: NY P48454) | |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2011-01-13 |