| NPI | 1467626192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R0737551) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R073755) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2013-01-30 |