| NPI | 1740379544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 078155) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 073880-1) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2010-12-10 |