| NPI | 1366625774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 076246) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MD 13972) |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2009-09-02 |