| NPI | 1447587506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 078413) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 72 075044) |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2012-03-19 |