| NPI | 1356422802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 079892) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 071967) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2014-01-25 |