| NPI | 1336303320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 075928-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 080522-1) |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2013-03-28 |