| NPI | 1588915128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 082341) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 085084) |
| Enumeration Date | 2012-09-22 |
| Last Update Date | 2014-10-15 |