| NPI | 1467848127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 081698-1) |
| Additional Taxonomies | 251S00000X (Licence: NY 081698) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-04-09 |