| NPI | 1700975059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 006919) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 0624741) |
| 171M00000X Case Manager/Care Coordinator (Licence: NY 062474-1) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2009-07-22 |