| NPI | 1356596852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 0694241) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NY 2195292) |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2009-07-25 |