| NPI | 1679756126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY PR009813) |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital (Licence: NY 009813PR) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2007-12-06 |