| NPI | 1437302239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 079311) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 069358-1) |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2014-06-11 |