| NPI | 1730456807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 17177) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 049947-R) |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2011-11-17 |