| NPI | 1407945975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R052243-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R052243) |
| 104100000X Social Worker | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2011-12-23 |