| NPI | 1407079932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 049959-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 2011410) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2012-05-09 |