| NPI | 1336426865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 083313) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 084923) |
| Enumeration Date | 2011-11-11 |
| Last Update Date | 2016-05-18 |