| NPI | 1366723256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 076475-01) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 005563-1) |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2011-09-06 |