| NPI | 1417201666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 80899) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 20248) |
| 104100000X Social Worker (Licence: NY 081263-1) | |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2013-09-06 |