| NPI | 1356788962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 081068-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 078327-1) |
| 1041S0200X Social Worker, School (Licence: NY 2554797) | |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2014-06-10 |