| NPI | 1588947782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R077839) |
| Additional Taxonomies | 251S00000X (Licence: NY 1164473838) |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2011-09-23 |