| NPI | 1477887230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY License#078527-1 cer) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA cw016401) |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2011-06-16 |