| NPI | 1629261441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 077239) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 075241-1) |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2010-03-31 |