| NPI | 1548322167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY PR016709-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 03-315056) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2011-01-25 |