| NPI | 1629393681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 079323) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 064215-1) |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2013-08-05 |