| NPI | 1720203136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R035763-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 035763) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2010-05-07 |