| NPI | 1427126762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 051115) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY PO51115-1) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2018-04-26 |