| NPI | 1700028883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 077416) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NY 077416) |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2014-10-10 |