| NPI | 1699937284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R075822) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 075822) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2011-06-13 |