| NPI | 1427113380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY R020003-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R20003) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2011-08-05 |