| NPI | 1710052592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY R036184) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R036184) |
| 106H00000X Marriage & Family Therapist (Licence: NY R036184) | |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2007-07-08 |