| NPI | 1346380276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 081336) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 072012) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2015-10-29 |