| NPI | 1538200670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 63119) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NY 203394615) |
| Enumeration Date | 2007-02-10 |
| Last Update Date | 2014-11-17 |