| NPI | 1598716615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY R056926) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 115466) |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2010-03-25 |