| NPI | 1447365838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 069868) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 069686) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2010-02-22 |