| NPI | 1639311814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY NYSLCSW074073-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 074073) |
| 1041C0700X Social Worker, Clinical (Licence: NY NYSLCSW074073) | |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2009-04-02 |