| NPI | 1407165590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 071183-1) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YS0200X Counselor, School | |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2010-10-06 |