| NPI | 1528087087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY PR021797-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 107622) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-07-08 |