| NPI | 1386883189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R070540-1) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 000502-1) |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2009-02-18 |