| NPI | 1568778728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 082310) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 007342) |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2011-11-03 |