| NPI | 1578712501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 73-078671) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 057775) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2012-07-10 |