| NPI | 1659383693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 054129) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 005181) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2007-07-08 |