| NPI | 1629389580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 081570) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 081094) |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2013-09-17 |