| NPI | 1518149822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 074606) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 0746061) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2013-05-21 |