| NPI | 1366757163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 085543-1) |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2017-05-16 |