| NPI | 1689749293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 73-076794) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 067859) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2015-11-09 |