| NPI | 1538468814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 079748) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 077648-1) |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2014-11-02 |