| NPI | 1548440894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 17989) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R055581) |
| Enumeration Date | 2007-11-04 |
| Last Update Date | 2012-09-20 |