| NPI | 1568533354 |
|---|---|
| Other Name | NOT APPLICABLE NOT APPLICABLE NNOT APPLICABLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY RO19618-1) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2009-10-28 |