| NPI | 1750608493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 078754) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 070162-1) |
| 1041S0200X Social Worker School (Licence: NY 070162-1) | |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2011-10-24 |